Evidence map›Paper›PMID 36304562›Full record

ArticleFrontiers in psychiatry2022

Behavioral pathway to a broken heart: The link between adverse childhood experiences, depression, physical exercise and cardiovascular health.

Sebastian Bertele, Ivo Heitland, Daniela Fraccarollo, Britta Stapel, Johann Bauersachs, Mechthild Westhoff-Bleck, Kai G Kahl

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  7. The moderating effect of lifetime physical activity on brain alterations related to adverse childhood experiences.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
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  13. A role for adverse childhood experiences and depression in preeclampsia.Journal of clinical and translational science · 2024
    Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Sebastian BerteleDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hanover Medical School, Hanover, Germany.
Ivo HeitlandDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hanover Medical School, Hanover, Germany.
Daniela FraccarolloDepartment of Cardiology and Angiology, Hanover Medical School, Hanover, Germany.
Britta StapelDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hanover Medical School, Hanover, Germany.
Johann BauersachsDepartment of Cardiology and Angiology, Hanover Medical School, Hanover, Germany.
Mechthild Westhoff-BleckDepartment of Cardiology and Angiology, Hanover Medical School, Hanover, Germany.
Kai G KahlDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hanover Medical School, Hanover, Germany.
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aim: Adverse childhood experiences (ACEs) are a major risk factor for unfavorable behavioral, mental and health outcomes later in life. However, the precise pathway Methods: 210 adult congenital heart disease outpatients (mean age 35.5 y, 43% female) completed a thorough cardiac and psychiatric evaluation. Psychiatric measurements included an expert interview, the childhood trauma questionnaire (CTQ), Beck's depression inventory II (BDI-II), quality of life and the global scale of functioning, amongst others. All patients completed a full cardiac workup including EAT assessment using echocardiography. We then computed bootstrapping mediation models using ACEs as a predictor, depression and physical activity as mediators and EAT as dependent variable in PROCESS. Results: CTQ scores had a significant indirect effect on EAT Conclusion: Using mediation analyses, we show that adverse childhood events are linked to increased depressive symptoms, which are linked to decreased physical activity, which in turn are linked to a higher amount of epicardial adipose tissue. While other pathways most certainly exist and replication is needed, this suggests a meaningful pathway

Indexed as

cardiovascular diseasechildhood adversitychildhood maltreatmentchildhood trauma questionnairedepressionepicardial adipose tissueexercisephysical activity

Identifiers

PMID36304562
PMCPMC9595725
OpenAlexW4304183126

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.